Have you encountered any challenges providing behavioral health services?

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February 17, 2022

In 2021, the Plan Investigations Division of the California Department of Managed Health Care (DMHC) began conducting surveys of all DMHC-regulated commercial full-service health plans to assess barriers and challenges faced. by providers in the delivery of behavioral health services.

The surveys aim to identify systemic changes that could be made to improve the delivery of behavioral health care.

DMHC plans to conduct an average of five surveys per year. The five health plans to study in 2022 are:

  • Alameda Health Alliance
  • California Blue Cross (Anthem Blue Cross)
  • Kaiser, Inc. (Kaiser Permanente) Foundation Health Plan
  • State-of-the-art health plan
  • western health benefit

DMHC notes that these investigations will be do not include the Medi-Cal managed care population.

The department is looking for providers willing to participate in interviews conducted by DMHC as part of the surveys for the five health plans listed above. The interviews will help DMHC gain a comprehensive understanding of provider-specific barriers and challenges. Due to the COVID-19 pandemic, interviews conducted in 2022 will likely be conducted by telephone or videoconference.

Providers who have opted out of contracting with the five health plans above, or contracted providers who have experienced barriers and challenges providing behavioral health services to their patients over the past two years, and who wish to participate in these interviews should contact the DMHC at [email protected] or (279) 666-5858.

DMHC plans to release its report on its 2021 behavioral health surveys — focused on Cigna Health Care of California, Ventura County Health Care Plan, Sutter Health Plan, Community Care Health Plan, Inc., and Contra Costa County Medical Services — at mid-2022.

More information on behavioral health surveys is available at DMHC website.

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